Provider Demographics
NPI:1891793857
Name:STEELE, JOEL SCOT (PA)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:SCOT
Last Name:STEELE
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 268981
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73126-8981
Mailing Address - Country:US
Mailing Address - Phone:405-232-0341
Mailing Address - Fax:405-552-9375
Practice Address - Street 1:4901 W RENO AVE
Practice Address - Street 2:STE 500
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73127-6346
Practice Address - Country:US
Practice Address - Phone:405-230-9250
Practice Address - Fax:405-943-0742
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OKPA418363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant